Organization Active NPI

New Dawn Chiropractic

  • Chiropractor
  • Columbia, SC
National Provider Identifier
1932385416
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1064 Issued in SC
Legal business name
NEW DAWN CHIROPRACTIC
Practice address
1916 Barnwell St
Columbia, SC 29201-2604
Phone
(803) 771-4868
Fax
(803) 312-0034
NPI assigned
Jan 15, 2008
Last updated
Jan 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert D. Maddocks, D.C.
Title
Chiropractor
Phone
(803) 771-4868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1064 SC Primary

Addresses

Primary practice location

1916 Barnwell St
Columbia, SC 29201-2604

Mailing address

1916 Barnwell St
Columbia, SC 29201-2604
Phone (803) 771-4868

Other identifiers 1

IdentifierTypeStateIssuer
CH1064MedicaidSC

National Provider Directory

National Provider Directory

Locations

1922 Barnwell St
Columbia, SC 29201
Phone (803) 771-4868

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1932385416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012604",
            "telephone_number": "803-771-4868",
            "fax_number": "803-312-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 BARNWELL ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012604",
            "telephone_number": "803-771-4868",
            "fax_number": "803-312-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DAWN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MADDOCKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "803-771-4868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH1064",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.